Shopko Stores Operating Co LLC

NPI #1578517710 in Adams, Wisconsin

Provider Information

NPI Number
1578517710
Entity Type
Organization
Organization Name
Shopko Stores Operating Co LLC
Primary Specialty
Pharmacy - Community/Retail Pharmacy
Enumeration Date
May 20, 2006
Last Updated
Sep 4, 2012

Practice Location

Address
220 W LINCOLN ST
City
Adams
ZIP Code
53910-9459
Phone
(608) 339-3630

Authorized Official

Name
MR. MICHAEL BETTIGA, RPH
Title
EXECUTIVE VICE PRESIDENT & COO
Phone
(920) 429-4297

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies
Pharmacy
Pharmacy - Community/Retail PharmacyCommunity/Retail Pharmacy

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